Claim total
$5,867.58
base $127.17 · payer covered $1,297.06
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2008-03-06
- Stop
- 2008-03-07
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
00a2ce2f-1e05-ab20-2b76-6b07f9017963